Hospital variation in pediatric in-hospital cardiac arrest survival

June 20, 2014
Hospital variation in pediatric in-hospital cardiac arrest survival

(HealthDay)—Despite risk-standardization, there is substantial hospital variation in survival for pediatric in-hospital cardiac arrest, according to a review published online June 17 in Circulation: Cardiovascular Quality and Outcomes.

Natalie Jayaram, M.D., from Saint Luke's Mid America Heart Institute in Kansas City, Mo., and used the American Heart Association's Get With the Guidelines-Resuscitation registry for in-hospital cardiac arrest to identify 1,551 cardiac arrests in children (<18 years). A model was developed and validated a model to predict survival to hospital discharge.

The researchers found that a total of 13 patient-level predictors were identified: age, sex, cardiac arrest rhythm, location of arrest, mechanical ventilation, acute nonstroke neurological event, major trauma, hypotension, metabolic or electrolyte abnormalities, renal insufficiency, sepsis, illness category, and need for intravenous vasoactive agents prior to the arrest. Good discrimination (C-statistic of 0.71) was seen with the model, which was confirmed by bootstrap validation (validation C-statistic of 0.69). Unadjusted hospital survival rates varied considerably (median, 37 percent), among 30 hospitals with ≥ 10 cardiac arrests. After risk-standardization, variation in survival persisted, although the range of hospital survival rates narrowed.

"Leveraging these models, future studies can identify best practices at high-performing hospitals to improve survival outcomes for pediatric ," the authors write.

One author discloses having worked as a consultant with the American Heart Association.

Explore further: Changes needed to improve in-hospital cardiac arrest care, survival

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Adrenaline use in cardiac arrest

July 26, 2011

Adrenaline has kept its place in cardiac arrest guidelines despite limited evidence for or against its use. The PACA (Placebo versus Adrenaline versus Cardiac Arrest) study by Jacobs and colleagues, soon to be published in ...

Recommended for you

Optimism may reduce risk of dying prematurely among women

December 7, 2016

Having an optimistic outlook on life—a general expectation that good things will happen—may help people live longer, according to a new study from Harvard T.H. Chan School of Public Health. The study found that women ...

New discovery at heart of healthy cereals

December 6, 2016

A new discovery at the University of Queensland could help reduce heart disease and boost nutrition security – the access to balanced nourishment - globally.

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.